Calderdale and Huddersfield NHS Foundation Trust

Anticoagulant Specialist Nurse

The closing date is 17 April 2026

Job summary

  • Provides expert advice, support and interventions to patients of the anticoagulation service and to healthcare professionals in primary and secondary car
  • Provides comprehensive evidence-based care for patients taking anticoagulant
  • Uses computer dosing system to monitor and adjust doses for warfarin patients
  • Prescribes as an independent non-medical prescriber for anticoagulant patients
  • Supervises anticoagulant services support staff

Main duties of the job

Monitor INR and adjust warfarin doses in face-to-face clinics across both Calderdale and Kirklees and some remote office working.

Train and support patients who wish to self-test.

Ensure patient safety: Consider and interpret VTE risks, where appropriate arrange for bridging of low INR's and reversal of high INR's. This may involve conducting VTE risk assessments, prescribing; liaising with colleagues in primary care and arranging referral to secondary care.

Provide support and supervision for Higher Healthcare Assistants for domiciliary visiting. This may include remotely supervising the administration of medicines.

Provide VTE and anticoagulation advice to trust staff for warfarin in-patients.

Continually monitor standards of care and participate in service improvements to ensure the delivery of safe and effective care.

Contribute and support departmental audits

Identify clinical issues and incidents within the Trust that reduce the quality of care within the specialist service.

Provide specialist education to members of the anticoagulation team.

Participate in multi-professional formal and informal teaching to update staff on evidence-based anticoagulation practice.

Work within the NMC Code of Professional Practice, and within policies, procedures and guidelines of Calderdale and Huddersfield NHS Foundation Trust.

About us

CHFT is an integrated Trust of 6,500+ colleagues providing hospital and community services to patients and communities across Calderdale and Kirklees. We are rated as 'Good' by the Care Quality Commission, are a top performing Trust for Elective Recovery, Emergency and Cancer Care and widely acknowledged as a national digital lead when it comes to caring for people across our local and regional systems.

Our people are at the core of everything we do, hence our commitment to One Culture of Care. Our focus is to care for and support each other in order to provide outstanding compassionate care to our patients. That is why we are looking for an inclusive collaborative, creative, innovative and compassionate leader to join us in this role.

Details

Date posted

07 April 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£39,959 to £48,117 a year per annum, pro rata

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

372-FSS3068

Job locations

Huddersfield Royal Infirmary

Salterhebble

Huddersfield

HD3 3EA


Job description

Job responsibilities

Monitor INR and adjust warfarin doses in face-to-face clinics across both Calderdale and Kirklees and some remote office working.

Train and support patients who wish to self-test.

Ensure patient safety: Consider and interpret VTE risks, where appropriate arrange for bridging of low INRs and reversal of high INRs. This may involve conducting VTE risk assessments, prescribing, liaising with colleagues in primary care and arranging referral to secondary care.

Provide support and supervision for Higher Healthcare Assistants for domiciliary visiting. This may include remotely supervising the administration of medicines.

Provide VTE and anticoagulation advice to trust staff for warfarin in-patients.

Continually monitor standards of care and participate in service improvements to ensure the delivery of safe and effective care.

Job description

Job responsibilities

Monitor INR and adjust warfarin doses in face-to-face clinics across both Calderdale and Kirklees and some remote office working.

Train and support patients who wish to self-test.

Ensure patient safety: Consider and interpret VTE risks, where appropriate arrange for bridging of low INRs and reversal of high INRs. This may involve conducting VTE risk assessments, prescribing, liaising with colleagues in primary care and arranging referral to secondary care.

Provide support and supervision for Higher Healthcare Assistants for domiciliary visiting. This may include remotely supervising the administration of medicines.

Provide VTE and anticoagulation advice to trust staff for warfarin in-patients.

Continually monitor standards of care and participate in service improvements to ensure the delivery of safe and effective care.

Person Specification

QUALIFICATIONS/TRAINING

Essential

  • Registered Nurse
  • Evidence of competency in teaching and assessment
  • Registration with NMC or HPC
  • Independent non-medical prescriber or willingness to undertake within 12 months

KNOWLEDGE, EXPERIENCE & EXPERTISE

Essential

  • Experience with patient contact
  • Team management and Leadership skills
  • Experience of clinical audit
  • Previous experience of formal and informal teaching of patients and staff
  • Experience of applying evidence-based practice to clinical practice
  • Venepuncture or willingness to complete within 3 months in post
  • Evidence of ability to work autonomously
  • Ability to communicate with patients and healthcare professionals in primary and secondary care
  • Evidence of continuing professional development
  • Up to date knowledge and expertise in the specialty

Desirable

  • Experience in ambulatory DVT/PE management
  • Evidence of experience at Band 5 or above working within an anticoagulation service or related field
  • Evidence of developing and leading nurse led clinics/services

COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)

Essential

  • Ability to work autonomously
  • Ability to formulate independent decisions safely about safe patient care
  • Ability to resolve complex problems
  • Skilled written and verbal communication skills
  • Commitment to maintaining own fitness for practice through maintaining a personal profile of practice competencies
  • Understanding of appropriate health and safety legislation

Desirable

  • Car owner/driver or suitable alternative transport to enable you to undertake the job (it is unlikely that public transport will meet this requirement). Reasonable adjustments can be considered in accordance to the Equality Act
Person Specification

QUALIFICATIONS/TRAINING

Essential

  • Registered Nurse
  • Evidence of competency in teaching and assessment
  • Registration with NMC or HPC
  • Independent non-medical prescriber or willingness to undertake within 12 months

KNOWLEDGE, EXPERIENCE & EXPERTISE

Essential

  • Experience with patient contact
  • Team management and Leadership skills
  • Experience of clinical audit
  • Previous experience of formal and informal teaching of patients and staff
  • Experience of applying evidence-based practice to clinical practice
  • Venepuncture or willingness to complete within 3 months in post
  • Evidence of ability to work autonomously
  • Ability to communicate with patients and healthcare professionals in primary and secondary care
  • Evidence of continuing professional development
  • Up to date knowledge and expertise in the specialty

Desirable

  • Experience in ambulatory DVT/PE management
  • Evidence of experience at Band 5 or above working within an anticoagulation service or related field
  • Evidence of developing and leading nurse led clinics/services

COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)

Essential

  • Ability to work autonomously
  • Ability to formulate independent decisions safely about safe patient care
  • Ability to resolve complex problems
  • Skilled written and verbal communication skills
  • Commitment to maintaining own fitness for practice through maintaining a personal profile of practice competencies
  • Understanding of appropriate health and safety legislation

Desirable

  • Car owner/driver or suitable alternative transport to enable you to undertake the job (it is unlikely that public transport will meet this requirement). Reasonable adjustments can be considered in accordance to the Equality Act

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Calderdale and Huddersfield NHS Foundation Trust

Address

Huddersfield Royal Infirmary

Salterhebble

Huddersfield

HD3 3EA


Employer's website

https://www.cht.nhs.uk (Opens in a new tab)


Employer details

Employer name

Calderdale and Huddersfield NHS Foundation Trust

Address

Huddersfield Royal Infirmary

Salterhebble

Huddersfield

HD3 3EA


Employer's website

https://www.cht.nhs.uk (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Lead Pharmacist - Anticoagulation and Thrombosis

Emily Newell

emily.newell@cht.nhs.uk

01484355607

Details

Date posted

07 April 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£39,959 to £48,117 a year per annum, pro rata

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

372-FSS3068

Job locations

Huddersfield Royal Infirmary

Salterhebble

Huddersfield

HD3 3EA


Supporting documents

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